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[住院患者急性子宫附件感染中克林霉素-庆大霉素与甲硝唑-庆大霉素疗效及耐受性比较的前瞻性随机研究]

[Prospective randomized study comparing the efficacy and tolerance of clindamycin-gentamycin versus metronidazole-gentamycin in acute utero-adnexal infections in hospitalized patients].

作者信息

Lebceuf D, Rousset D, Cacault J A, Engelman P

出版信息

Rev Fr Gynecol Obstet. 1987 Jan;82(1):9-15.

PMID:3554461
Abstract

The efficacy and safety of two antibiotic combination (clindamycin + gentamycin [C + G] versus metronidazole + gentamycin [M + G]) have been compared in 45 in-patients suffering from pelvic inflammatory disease in a clinical prospective randomized trial. The rates of clinical and bacteriological recovery reached respectively 85.7% and 71.4% for C + G group compared to 83.3% and 78.6% for M + G group (no significant differences). Side effects (vomiting, gastralgia and vaginal mycosis) developed in four occasions in each group. The most frequently isolated organisms were chlamydiae, E. coli and Neisseria gonorrheae (around 50% of overall isolated organisms). Due to the lack of significant differences between the two antibiotic combinations, the final choice will depend on potential risks generated by these products.

摘要

在一项临床前瞻性随机试验中,对45例盆腔炎住院患者比较了两种抗生素联合用药(克林霉素+庆大霉素[C+G]与甲硝唑+庆大霉素[M+G])的疗效和安全性。C+G组的临床和细菌学恢复率分别达到85.7%和71.4%,而M+G组为83.3%和78.6%(无显著差异)。每组均有4例出现副作用(呕吐、胃痛和阴道霉菌病)。最常分离出的病原体为衣原体、大肠杆菌和淋病奈瑟菌(约占分离出的病原体总数的50%)。由于两种抗生素联合用药之间缺乏显著差异,最终的选择将取决于这些产品产生的潜在风险。

相似文献

1
[Prospective randomized study comparing the efficacy and tolerance of clindamycin-gentamycin versus metronidazole-gentamycin in acute utero-adnexal infections in hospitalized patients].[住院患者急性子宫附件感染中克林霉素-庆大霉素与甲硝唑-庆大霉素疗效及耐受性比较的前瞻性随机研究]
Rev Fr Gynecol Obstet. 1987 Jan;82(1):9-15.
2
Piperacillin and tazobactam versus clindamycin and gentamicin in the treatment of hospitalized women with pelvic infection. The Piperacillin/tazobactam Study Group.哌拉西林/他唑巴坦与克林霉素和庆大霉素治疗住院盆腔感染女性的疗效比较。哌拉西林/他唑巴坦研究组
Obstet Gynecol. 1994 Feb;83(2):280-6.
3
Comparison of metronidazole with clindamycin-gentamycin combination in the prevention of infectious complications after elective colonic surgery.甲硝唑与克林霉素 - 庆大霉素联合用药在择期结肠手术后预防感染性并发症方面的比较。
Ann Chir Gynaecol. 1982;71(6):317-20.
4
Ciprofloxacin monotherapy for acute pelvic infections: a comparison with clindamycin plus gentamicin.环丙沙星单药治疗急性盆腔感染:与克林霉素加庆大霉素的比较。
Obstet Gynecol. 1991 Oct;78(4):696-702.
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Piperacillin versus clindamycin plus gentamicin for pelvic infections.哌拉西林与克林霉素加庆大霉素治疗盆腔感染的比较。
Obstet Gynecol. 1984 Dec;64(6):762-6.
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A randomized comparison of gentamicin-clindamycin and cefoxitin-doxycycline in the treatment of acute pelvic inflammatory disease.庆大霉素-克林霉素与头孢西丁-多西环素治疗急性盆腔炎的随机对照研究
Obstet Gynecol. 1990 May;75(5):867-72.
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[Antibiotic therapy in the treatment of inflammatory diseases in the minor pelvis].[抗生素疗法在治疗盆腔炎症性疾病中的应用]
Srp Arh Celok Lek. 1996 Jul-Aug;124(7-8):193-6.
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Comparison of cefoxitin and clindamycin-gentamicin for pelvic infections.头孢西丁与克林霉素-庆大霉素治疗盆腔感染的比较。
Clin Ther. 1986;9(1):77-83.
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Comparison trial of clindamycin with aztreonam or gentamicin in the treatment of postpartum endometritis.克林霉素与氨曲南或庆大霉素治疗产后子宫内膜炎的对比试验。
Clin Ther. 1987;10(1):36-9.
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A comparison of piperacillin and clindamycin plus gentamicin in women with pelvic infections.哌拉西林与克林霉素加庆大霉素治疗女性盆腔感染的比较。
Surg Gynecol Obstet. 1986 Aug;163(2):156-62.

引用本文的文献

1
Antibiotic therapy for pelvic inflammatory disease.盆腔炎的抗生素治疗。
Cochrane Database Syst Rev. 2020 Aug 20;8(8):CD010285. doi: 10.1002/14651858.CD010285.pub3.
2
Antibiotic therapy for pelvic inflammatory disease: an abridged version of a Cochrane systematic review and meta-analysis of randomised controlled trials.盆腔炎症性疾病的抗生素治疗:Cochrane 系统评价和随机对照试验荟萃分析的精简版。
Sex Transm Infect. 2019 Feb;95(1):21-27. doi: 10.1136/sextrans-2018-053693. Epub 2018 Oct 19.
3
Antibiotic therapy for pelvic inflammatory disease.
盆腔炎的抗生素治疗。
Cochrane Database Syst Rev. 2017 Apr 24;4(4):CD010285. doi: 10.1002/14651858.CD010285.pub2.